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NSG352 > NSG352 Medication Administration Part 3 > Flashcards

NSG352 Medication Administration Part 3 Flashcards

1
Q

Intradermal injections site

A

Just below the dermal/skin layer in the inner/upper arm or the scapula to create a bleb/wheal

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2
Q

Intradermal injections use

A

allergy testing and TB skin testing

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3
Q

Intradermal injections needle gauge and length

A

Gauge: 26-28 gauge
Length: 1/2 inch

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4
Q

Intradermal injections angle

A

5-15 degrees

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5
Q

After administration of a TB test, should you touch/rub the injection site?

A

NO

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6
Q

Subcutaneous injection site

A

Given in the subcutaneous tissue in the upper arm/back/buttocks, abdomen, or thigh

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7
Q

Subcutaneous injection use

A

For insulin and heparin administration

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8
Q

Subcutaneous injection needle gauge/length

A

Gauge: 26-30 gauge
Length: 1/2 to 5/8 inch

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9
Q

Subcutaneous injection angle

A

45-90 degrees

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10
Q

What should you do with the skin when administering a subcutaneous injection?

A

Bunch the skin to stabilize the site as needed; more important for patients with less subcutaneous fat

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11
Q

Which site has the fastest absorption with subcutaneous injections? Where is the slowest?

A

Fastest: abdomen
Slowest: thighs/upper buttocks

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12
Q

When giving a subcutaneous injection, what skin types should you avoid?

A

burns, birthmarks, inflammation, scars

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13
Q

Since insulin is given multiple times a day, what should you do to prevent tissue damage?

A

Change the injection site

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14
Q

How long is a vial of insulin good for?

A

30 days unrefrigerated

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15
Q

True/False: Insulin is measured in mL

A

NO, it is measured in units

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16
Q

Why does insulin require an independent double check?

A

Because it is a high alert medication

17
Q

Because heparin is a __________ it can cause what?

A

Because it is an anticoagulant it can cause bleeding/bruising.

18
Q

Where should you administer heparin? Why?

A
  • The abdominal sites
  • Not near large muscle groups (muscle activity is thought to increase formation of hematomas)
  • Avoid 1-2 inches from umbilicus
19
Q

What is unique about administering enoxaparin/lovenox compared to heparin?

A
  • same precautions as heparin administration
  • do not remove the bubble of air in the syringe; it is used to “seal” the medication into the deep subcutaneous tissue
20
Q

Intramuscular injection site

A

The muscle layer beneath the dermis/subcutaneous tissue in the deltoid, rectus femoris/vastus lateralis, or ventrogluteal sites

21
Q

Intramuscular injection use

A
  • Vaccines
  • Medications used for pain/nausea
  • Antibiotics
22
Q

Medication given IM absorbs more slowly than __________ but more quickly than __________

A
  • IV
  • Subcutaneous
23
Q

Intramuscular injection gauge/length

A

Gauge: 20-25
Length: 1 - 1.5 inches

24
Q

Intramuscular injection angle

A

90 degrees

25
Q

After administering IM medications, what will increase absorption and alleviate some discomfort?

A

Rubbing the injection site

26
Q

Describe the Z-Track method and what it is used for. What route is this used for?

A
  • Used for medications that discolor/irritate the subcutaneous tissue
  • Decreases “tracking” of the medication
  • Pull the skin 1-1.5 inches to one side of the injection site while injecting the medication and then releasing that traction prior to withdrawing the needle
27
Q

Describe the process of giving an IM injection into the deltoid and what you should be aware of when administering the medication this way

A
  • Use a smaller length needle to not hit the radial nerve/brachial artery
  • Smaller volumes can be used compared to other sites of injection
  • Located 2-3 finger breadths below the lower edge of the acromion process then form a triangle with your finger
  • Insert at a 90 degree angle towards acromion process
28
Q

Describe the process of giving an IM injection into the rectus femoris/vastus lateralis and what you should be aware of when administering the medication this way

A
  • safe to use because it is not near any large blood vessels/nerves
  • Rapid rates of administration
  • Rectus femoris is convenient for self injection
29
Q

Describe the process of giving an IM injection into the ventrogluteal site and what you should be aware of when administering the medication this way

A
  • lateral hip is free from major blood vessels, nerves, and fat
  • insert at 90 degrees angles slightly toward the iliac crest
30
Q

What site is considered the safest/least painful IM injeciton site?

A

Ventrogluteal site

31
Q

What should you ALWAYS include when documenting injected medications?

A

The site of the injection

NSG352 (3 decks)

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